The Unmet Needs of Community-Dwelling Stroke Survivors: A Systematic Review of Qualitative Studies

Yunfei Guo, Zhenxiang Zhang, Beilei Lin, Yongxia Mei, Qingxuan Liu, Leyun Zhang, Wenna Wang, Yuan Li and Zhongrong Fu
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Yunfei Guo: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
Zhenxiang Zhang: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
Beilei Lin: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
Yongxia Mei: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
Qingxuan Liu: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
Leyun Zhang: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
Wenna Wang: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
Yuan Li: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China
Zhongrong Fu: School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China

IJERPH, 2021, vol. 18, issue 4, 1-19

Abstract: The unmet needs perceived by community-dwelling stroke survivors may truly reflect the needs of patients, which is crucial for pleasant emotional experiences and a better quality of life for community-dwelling survivors not living in institutionalized organizations. The purpose of the study is to identify the scope of unmet needs from the perspectives of stroke patients in the community. A qualitative meta-synthesis was performed according to the Joanna Briggs Institute method. Six electronic databases were searched from inception to February 2020. A total of 24 articles were involved, providing data on 378 stroke survivors. Eight categories were derived from 63 findings, and then summarized into four synthesized findings based on the framework of ICF: (1) unmet needs regarding with the disease-related information; (2) unmet physical recovery and activity/participation needs; (3) unmet needs for social environmental resources; (4) unmet psycho-emotional support needs. We found the framework of ICF mostly complete, but unmet information needs still remain. The needs that are mainly unsatisfied include physical, psychosocial and informational, as well as the practical support from professional or environment resources. The ever-present unmet needs perceived by community-dwelling stroke survivors who do not live in institutions are discoverable and mitigable. Future studies should focus on quantifying unmet needs comprehensively derived from experiential domains, assessing the rationality of the unmet needs expressed by patients’ perspectives and developing flexible strategies for long-term and changing needs.

Keywords: stroke; unmet needs; community health; qualitative research; systematic review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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